1. Why is it crucial to understand the impact of

A 45-year-old woman presents for evaluation. She has a 30-pack-year smoking history and smokes two packs of cigarettes daily. She is concerned about her smoking and the complications it may cause if she continues. Despite her understanding of the potential medical complications, she continues to smoke. She spends excessive time either smoking or purchasing cigarettes, she avoids work or social events in locations that restrict smoking, she smokes when she anticipates feelings of restlessness due to tobacco withdrawal, and she has increased the number of cigarettes smoked per day since she began smoking as a teenager. She has no psychotic, mood, or anxiety disorder. Of the following, which is most effective to help this patient stop smoking? Bupropion Fluoxetine Nortriptyline Varenicline

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